HARTFORD DISPENSARY (NPI# 1922121797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922121797 |
| Entity Type | Organization |
| Organization Name | HARTFORD DISPENSARY |
| Other Organization Name | PRIMARY CARE UNIT |
| Practice Address |
12-14 Weston Street Hartford CT 06120-1504 |
| Mailing Address |
345 Main St Hartford CT 06106-1824 |
| Practice Telephone | 8602933101 |
| Mailing Telephone | 8605252181 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL MCLAUGHLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8605252181 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0435 | CT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Primary Care Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992992119 | Hartford Dispensary | Clinic/Center | 12 - 14 Weston St, Hartford, CT 06120-1504 | 2007-10-02 |
| 1104949973 | Hartford Dispensary | Clinic/Center | 345 Main St, Hartford, CT 06106-1824 | 2007-04-09 |
| 1730202516 | Hartford Dispensary | Clinic/Center | 345 Main St, Hartford, CT 06106-1824 | 2007-04-09 |
| 1184794257 | Hartford Dispensary | Clinic/Center | 345 Main St, Hartford, CT 06106-1824 | 2006-11-08 |
| Street Address |
12-14 WESTON STREET |
| City | HARTFORD |
| State | CT |
| Zip Code | 06120-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245664770 | Amy Rodriguez | Social Worker | 2550 Main Street, Hartford, CT 06120 | 2013-09-03 |
| 1144578741 | Community Substance Abuse Center | Case Management | 55 Fish Fry Street, Hartford, CT 06120 | 2012-08-29 |
| 1225394190 | Edward Billie | Case Management | 27 East St, Apt 2, Hartford, CT 06120 | 2012-04-05 |
| 1497065163 | Sharron Lee Laplante | General Practice | 177 Weston Street, Hartford, CT 06120 | 2010-10-15 |
| 1417135195 | Ling Li | Nurse Practitioner | 3580 Main Street, Hartford, CT 06120 | 2008-02-05 |
| 1750592564 | Avon Medical Pharmacy | Durable Medical Equipment & Medical Supplies | Arrow Prescription Center 11, 500 Albany Avenue, Hartford, CT 06120 | 2007-05-24 |
| 1609942416 | Gene David Kirschenbaum | Obstetrics & Gynecology | 360 Market Street, Hartford, CT 06120 | 2006-11-27 |
| 1740361179 | Pamela Bond Ponichtera | Nurse Practitioner | 500 Albany Avenue, Pediatric Clinic, Hartford, CT 06120 | 2006-10-19 |
| 1841301876 | Community Renewal Team, Inc. | Clinic/Center | 330 Market Street, Hartford, CT 06120 | 2006-08-31 |
| 1548803844 | Courtney Anne Barnes | Social Worker | 330 Market St, Hartford, CT 06120 | 2019-10-20 |
| Find all providers in zip 06120 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| 1942423488 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-11 |
| 1043823487 | Zen Wellness Care | Clinic/Center | 556 Zion St, Hartford, CT 06106-2348 | 2020-08-25 |
| 1770014656 | Ct Optimal Wellness, LLC | Clinic/Center | 100 Pearl St, 12 Floor, Hartford, CT 06103 | 2017-03-23 |
| 1679011803 | Community Health Services | Clinic/Center | 500 Albany Ave, Hartford, CT 06120-2508 | 2017-02-08 |
| 1386085850 | Burgdorf Bank of America Health Center | Clinic/Center | 131 Coventry St, 2nd Floor Administration, Hartford, CT 06112-1548 | 2013-07-12 |
| 1780958884 | Disability Determination Services | Clinic/Center | 309 Wawarme Ave, Hartford, CT 06114-1509 | 2012-03-07 |
| 1306168398 | Corporate Health Demensions, Inc | Clinic/Center | 151 Farmington Ave., Reaw, Hartford, CT 06156 | 2010-02-18 |
| 1629225842 | Aetna Inc., Wellness Works Center | Clinic/Center | 151 Farmington Ave, Hartford, CT 06156-0001 | 2008-08-19 |
| 1093930539 | Ct Childrens Medical Center/betances | Clinic/Center | 42 Charter Oak Ave, Hartford, CT 06106-1909 | 2007-04-17 |
| Find all providers in HARTFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.